Records Request

Please send all records requests, correspondence, and updated materials to:

Foundations to Healing
Attn: Records
838 E New York Avenue, DeLand, FL 32724
Email: records@foundationstohealing.com

Fax: 386-610-344
Phone: 386-748-6097 Ext. 309

To help us process your request, please include:

• Signed ROI Authorization
• Requester’s information (e.g., name and address, logo/letterhead, signature)
• Date range(s) of service
• Level(s) of care
• Specific records needed

Third-Party Requests

If records are being released to a third party not listed on the authorization, we must verify that the requester is authorized to act on behalf of the named recipient.

Please include:

• A letter of representation from the primary recipient, or
• Other documentation confirming the agency relationship